| NPI | 1437421435 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY LOUIS BERARDI President 574-232-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: IN 20010290A) |
| Additional Taxonomies | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: MI 6301006300) |
| Enumeration Date | 2012-02-07 |
| Last Update Date | 2016-08-04 |