| NPI | 1972956522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA HELLER President 260-437-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34002636A) |
| Enumeration Date | 2016-07-19 |
| Last Update Date | 2016-07-19 |