| NPI | 1891120119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT COYLE Clinical Director 219-364-2732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 20090241A) |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |