NPI | 1619975554 |
---|---|
Doing Business As | CENTER FOR BEHAVIORAL MEDICINE |
Entity Type | Organization |
Authorized Contact | JEFFREY COSTELLO CFO 574-674-3460 |
Organization Subpart ? | Yes |
Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IN 05-005017-1) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2022-12-01 |