| NPI | 1184757320 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGO OLEVIER SUGGS Administrative Assistant 219-949-4747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2007-03-14 |
| Last Update Date | 2020-08-22 |