| NPI | 1013146919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELIQUE GRAY CEO/Founder 219-678-8144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2009-07-13 |