NPI | 1750411872 |
---|---|
Entity Type | Organization |
Authorized Contact | BRENDA J CLANTON Contracts Manager 574-283-1107 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2007-03-07 |
Last Update Date | 2010-04-07 |