| NPI | 1720817109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSY K DIENER-LOCKE Program Director 574-535-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-08-01 |
| Last Update Date | 2024-08-01 |