NPI: 1235216672 · MERRILLVILLE, IN 46410 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · NPI assigned 11/01/2006
| Authorized Official | RAMON-DOUGHMAN, RENEE (PRESIDENT CEO) |
| NPI Enumeration Date | 11/01/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2020 | 257 | $0.00 |