| NPI | 1013538081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTY E HITE Licensed Clinical Social Worker 219-525-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-05-01 |
| Last Update Date | 2020-05-01 |