| NPI | 1639060700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA VANDERBERG Fnp Bc, Pmhnp C 219-742-7328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2025-07-15 |
| Last Update Date | 2025-07-15 |