NPI | 1447871116 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUG ISCH President 260-824-9000 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2020-05-04 |
Last Update Date | 2020-05-04 |