| NPI | 1023101763 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A. KUBOSKE President 574-276-8143 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 34003645A) |
| Enumeration Date | 2006-10-02 |
| Last Update Date | 2020-08-22 |