| NPI | 1992462006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON DAVID MUNSON Owner / Provider 219-440-6185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2021-11-23 |
| Last Update Date | 2021-11-23 |