| NPI | 1841658994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERARD P BENNER Treasurer / Board Chair 765-463-3890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2016-02-04 |
| Last Update Date | 2016-02-04 |