| NPI | 1811272867 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH ANN ROBISON Office Manager 765-318-1225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 20040289) |
| Enumeration Date | 2011-10-20 |
| Last Update Date | 2011-11-01 |