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 |