| NPI | 1003444985 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL LANE Co Founder 260-417-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 104100000X Social Worker | |
| Enumeration Date | 2020-03-27 |
| Last Update Date | 2020-03-27 |