| NPI | 1275614109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JC DOLLAR CEO/President 260-484-4153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IN 7342602900837) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2020-08-22 |