| NPI | 1558434779 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICKIE R BAILEY Business Office Manager 260-485-4357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-11-16 |
| Last Update Date | 2020-08-22 |