| NPI | 1548599475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS A DWORNICZEK President 219-922-0735 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34001178A) |
| Enumeration Date | 2009-12-24 |
| Last Update Date | 2009-12-24 |