| NPI | 1043828411 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENEE DEVINE Owner 260-452-5347 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2020-07-21 |
| Last Update Date | 2022-02-07 |