NPI | 1144073198 |
---|---|
Entity Type | Organization |
Authorized Contact | KYLIE R LOWRY Director/Owner 260-667-3672 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2024-04-09 |
Last Update Date | 2024-04-09 |