| NPI | 1487858411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DWAYNE WARREN MUELLER Executive Director 219-886-1320 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IN 53769) |
| Enumeration Date | 2007-06-13 |
| Last Update Date | 2020-08-22 |