| 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 |