| NPI | 1710464086 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TEI FERGUSON Director 260-446-7613 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2018-07-19 |
| Last Update Date | 2021-03-16 |