| NPI | 1043743511 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER MATURO Licensed Mental Health Counselor 219-508-2465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: FL MH 12745) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |