| NPI | 1295396810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BROOKE FARRINGTON President 260-358-7180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |