| NPI | 1295629806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVAN MICHAEL LAFOUNTAIN Owner 219-669-8267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-06-06 |
| Last Update Date | 2025-06-18 |