| NPI | 1528522646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN MARIE FLORES Director 219-462-7600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2019-01-23 |
| Last Update Date | 2019-01-23 |