| NPI | 1598005274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAYWARD I CAROLIN-SALAZAR Vice President Of Behavioral Health 260-205-2516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: IN 20010356A) |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2013-02-18 |
| Last Update Date | 2024-05-01 |