| 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 |