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 |