| NPI | 1174195796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L STARNES Owner 260-466-3516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-07-13 |
| Last Update Date | 2023-06-06 |