| NPI | 1881613966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN G. KAUFMAN President 574-294-6853 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: IN 34002356A) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-22 |