NPI | 1770581746 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY JOAN SCZESNY President 765-644-8567 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2005-07-13 |
Last Update Date | 2022-07-21 |