NPI | 1831584788 |
---|---|
Entity Type | Organization |
Authorized Contact | PATRICIA HANCOCK Lcsw /President 574-360-4066 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 33007137A) |
Enumeration Date | 2015-03-30 |
Last Update Date | 2015-03-30 |