NPI | 1104974989 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA J CLANTON Contracts Manager 574-283-1107 |
Organization Subpart ? | Yes |
Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IN 406-1-PIP) |
Enumeration Date | 2007-01-08 |
Last Update Date | 2010-04-07 |