| NPI | 1003121781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHI LANGE President 765-762-0611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34000883A) |
| Enumeration Date | 2010-08-18 |
| Last Update Date | 2010-08-18 |