| NPI | 1538991443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH BARKMAN CFO 574-214-5358 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 283Q00000X Psychiatric Hospital |
| Enumeration Date | 2024-08-19 |
| Last Update Date | 2024-08-19 |