| NPI | 1366815615 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELVIN OTIS SWOPE Owner/ Executive Director 219-756-8201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2015-11-09 |
| Last Update Date | 2015-11-09 |