| NPI | 1396082863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL W. BOYLE Executive Director 765-664-7740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 20041950A) |
| Enumeration Date | 2013-01-03 |
| Last Update Date | 2013-01-03 |