| NPI | 1700771714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN LAWRENCE MARSDEN Executive Director 260-908-3167 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2025-06-10 |
| Last Update Date | 2025-06-10 |