| NPI | 1750530846 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAYMOND WOJCIECHOWSKI Counselor 219-980-3802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 39001889A) |
| Enumeration Date | 2008-09-12 |
| Last Update Date | 2008-09-12 |