| NPI | 1083819957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA SPELLMAN Medical Director 574-753-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01057949A) |
| Enumeration Date | 2007-06-19 |
| Last Update Date | 2007-08-31 |