| NPI | 1255087342 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CANDICE NELSON Executive Director 219-214-6505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency |
| 253Z00000X In Home Supportive Care | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 261QS1000X Clinic/Center, Student Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2022-02-27 |
| Last Update Date | 2022-02-27 |