| NPI | 1588907133 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS R GREENE Executive Director 765-533-3573 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 87000151A) |
| Enumeration Date | 2013-04-02 |
| Last Update Date | 2013-04-02 |