| NPI | 1841534914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TROY SMITH Senior Therapist 260-385-8756 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251K00000X Public Health or Welfare (Licence: IN 36001993A) |
| Enumeration Date | 2012-11-15 |
| Last Update Date | 2012-11-15 |