| NPI | 1447128087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN A NEWSOME CEO 574-216-3497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-10-27 |
| Last Update Date | 2026-02-18 |