| NPI | 1003790205 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN HINES Executive Director 765-412-8512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor Mental Health | |
| 104100000X Social Worker | |
| 101YP2500X Counselor Professional | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2025-08-01 |
| Last Update Date | 2025-08-01 |