| NPI | 1659155943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON WALTERS-HARVEY Mental Health Provider 260-222-8562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-08-21 |
| Last Update Date | 2023-08-21 |