NPI | 1760192132 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHANIE JOHNSON Controller 260-615-1122 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2022-11-28 |
Last Update Date | 2022-11-28 |