| NPI | 1760257091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATIE VENA CEO/Owner 219-241-4419 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-11-16 |
| Last Update Date | 2024-03-28 |