| NPI | 1821414681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROSE WIERZBA Owner 219-964-3773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 39002472A) |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2025-07-24 |