| NPI | 1023125705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE RUNKLE Administrative Services Coordinator 260-347-2453 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: IN 426-0-CMHC) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2009-06-25 |