| NPI | 1194991778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R. SCHNEIDER Executive Director 219-462-6705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 20041239) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-05-05 |