| NPI | 1033486907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HANCOCK Partner 574-360-2526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34004712A) |
| Enumeration Date | 2011-11-21 |
| Last Update Date | 2011-11-21 |