| NPI | 1700325586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH HOOPER President & CEO 765-453-8580 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |