| NPI | 1730620063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATIO BALLARD Director Human Resorces & Fiance 219-756-1500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |