| NPI | 1043886229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHANNA WAGNER Director, Outreach And Education 574-933-4243 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-05-28 |
| Last Update Date | 2021-05-28 |