| NPI | 1871716217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAM BIGGS REED Executive Director 765-742-4848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 101YP2500X) |
| Enumeration Date | 2007-04-11 |
| Last Update Date | 2020-08-22 |