| NPI | 1902042484 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD S. GENTNER Lcsw 574-232-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34002568A) |
| Enumeration Date | 2009-01-05 |
| Last Update Date | 2026-01-23 |