| NPI | 1639190598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STANLEY C. HOFFMAN President 574-294-6921 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 57000093A) |
| Enumeration Date | 2006-07-23 |
| Last Update Date | 2020-08-22 |