| NPI | 1689338071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY E SOBCZAK Owner 574-337-3114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2022-08-04 |