NPI | 1831428879 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHEAL WILLIAMS Medical Director 574-269-8383 |
Organization Subpart ? | No |
Primary Taxonomy | 251V00000X Voluntary or Charitable (Licence: IN 0876) |
Enumeration Date | 2009-12-22 |
Last Update Date | 2009-12-22 |