| NPI | 1366942518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUDITH K SIKORA CFO 219-757-1921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: IN 424-0-ASR) |
| Enumeration Date | 2018-02-14 |
| Last Update Date | 2018-02-14 |