| NPI | 1568834992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RODRIGO GARCIA Owner 219-743-2477 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 163WP0808X Registered Nurse, Psych/Mental Health | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2015-10-26 |
| Last Update Date | 2023-04-26 |