| NPI | 1548274202 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIZAR EL-KHALILI Owner/Medical Director 765-446-9394 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TC0700X Psychologist Clinical | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2010-07-20 |