| NPI | 1164720371 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE CAROL ELLIS Exectutive Director 765-692-0260 |
| Organization Subpart ? | No |
| Primary Taxonomy | 311500000X Alzheimer Center (Dementia Center) (Licence: IN 201008180A) |
| Enumeration Date | 2011-03-11 |
| Last Update Date | 2011-03-11 |