Graduated: 1985
NPI: 1801619119
Practice Locations (2)
2410 GRAPE RD, SUITE 1
MISHAWAKA, IN 465453015
5742439370
MIDWEST BEHAVIORAL HEALTH LLC
3930 EDISON LAKES PKWY, SUITE 320
MISHAWAKA, IN 465453474
2164685000
Source: CMS National Downloadable File, September 2026.