NPI | 1194335554 |
---|---|
Entity Type | Organization |
Authorized Contact | KIM ANDERSON Chief Operating Officer 219-973-7159 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-07-31 |
Last Update Date | 2020-09-10 |