- Facility Name
- MICHIANA MENTAL HEALTH CARE, LLC.
- Type / Classification
- Clinic/Center, Adult Mental Health
- Address
- 210 S RACE ST, MISHAWAKA, IN 46544
- Phone Number
- (574) 220-7084
- NPI Number
- 1205315033
- Authorized Official
- TARA STANTON (Owner)
- Enumeration Date
- 2018-08-13