| NPI | 1184089617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WALTER L SCOTT President 219-887-3688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 1316027998) |
| Enumeration Date | 2015-12-29 |
| Last Update Date | 2015-12-29 |