| NPI | 1336238237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIRK SHAFER Vice President Of Finance 765-288-1928 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 422-0-CMHC) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2008-10-27 |