| NPI | 1437548328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LEE WILLIAMS Owner 260-417-3051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 39000527A) |
| Enumeration Date | 2015-01-14 |
| Last Update Date | 2015-01-14 |