| NPI | 1013456839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ZACHARY EDWARD BURNS President / Clinical Director 219-916-2521 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007410A) |
| Enumeration Date | 2017-02-13 |
| Last Update Date | 2017-02-13 |