| NPI | 1265698120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA J CLANTON Contracts Manager 574-283-1107 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 406-0-CMHC) |
| Enumeration Date | 2008-07-31 |
| Last Update Date | 2010-04-07 |