Individual provider · Type 1 NPI

Heather Carroll, COTA

Assisted Living Facility (Mental Illness) · Granger, IN

NPI number 1346649688 Active

Practice location

430 E Cleveland Rd
Granger, IN 46530-5624

Mailing address

19839 Dice St
South Bend, IN 46614-5513

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility (Mental Illness) Primary 3104A0625XNone listed

Assisted Living Facility (Mental Illness): A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

6 other providers at this address

About NPI 1346649688

Heather Carroll, COTA's National Provider Identifier is 1346649688, issued on Aug 21, 2014. The primary taxonomy on file is Assisted Living Facility (Mental Illness) (3104A0625X), and the practice location is in Granger, IN. The record was last updated on Aug 21, 2014.