| NPI | 1578854360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LENDORA HAWKINS Owner 219-614-1361 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34004686A) |
| Enumeration Date | 2011-04-27 |
| Last Update Date | 2011-04-27 |