| NPI | 1639172810 |
|---|---|
| Doing Business As | OTIS R BOWEN CENTER |
| Entity Type | Organization |
| Authorized Contact | JAY M BAUMGARTNER Sr VP Fiscal Division 574-267-7169 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IN 4230CMHC) |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IN 4230CMHC) |
| 283Q00000X Psychiatric Hospital (Licence: IN 4231PIP) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2012-12-04 |