| NPI | 1437444692 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID NOWAK CEO 574-233-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IN 806-0-ASR) |
| Enumeration Date | 2011-06-16 |
| Last Update Date | 2011-06-16 |