| NPI | 1598420473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZETTE SORRELLS Owner / Executive Director / Admini 219-386-3083 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-04 |
| Last Update Date | 2024-10-03 |