| NPI | 1184861858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NEIL GILBERT Owner 574-287-0391 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34002531A) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2009-01-16 |