| Organization Name: | NORTH CENTRAL HEALTH SERVICES, INC. |
| NPI Number: | 1215262530 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JOHN R. WALLING (PRESIDENT/CEO) |
| Mailing Address: | 2900 N River Rd West Lafayette |
| State: | IN US |
| Postal Code: | 479063744 |
| Phone Number: | 7654632555 |
| Fax Number: | |
| NPI Enumeration Date: | 10/05/2009 |
| NPI Last Update Date: | 10/05/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 103TC0700X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Psychologist |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | |