| NPI | 1265977268 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE JANTZEN President 260-213-1300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 39001451A) |
| Enumeration Date | 2016-12-29 |
| Last Update Date | 2016-12-29 |