Children'S Therapy Innovations INC.
Intermediate Care Facility, Intellectual Disabilities in South Bend, IN. Organization (NPI-2).
NPI number1407166192
StatusActive
Last updated in NPPESDec 31, 2024
Details
- NPI
- 1407166192
- Entity type
- Organization (NPI-2)
- Legal business name
- Children'S Therapy Innovations INC.
- Organization subpart
- No
- Enumeration date
- Oct 14, 2010
- Certification date
- Dec 31, 2024
- Last updated
- Dec 31, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | – | – | Yes |
| 252Y00000X | Early Intervention Provider Agency | – | – | |
| 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – | |
| 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | – | – |
Other names
- Cti Aging And Rehabilitative Services (Doing Business As)
Practice location
2012 Ironwood Cir Ste 230South Bend, IN 46635-1889
Phone 574-387-4049 · Fax 574-387-4062
Mailing address
2012 Ironwood Cir Ste 230South Bend, IN 46635-1889
Phone 574-387-4049 · Fax 574-387-4062
Authorized official
Lydia B Otiato
President
5743874049
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