| NPI | 1639316086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERNEST M BEAL Chief Operating Officer 260-459-1551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |