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 |