| NPI | 1740497668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOU ANN TODD President 574-264-1501 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 34000533A) |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2010-04-18 |