| NPI | 1003122334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA BIDDINGS Registered Nurse 219-886-1670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Additional Taxonomies | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2023-07-27 |