| NPI | 1598847212 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN J. MILLER V.P. Finance, C.F.O. 574-533-1234 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 409-0-CMHC) |
| Enumeration Date | 2006-10-20 |
| Last Update Date | 2011-08-17 |