| NPI | 1659441905 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN E WENGER Owner 765-649-2234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2013-05-16 |