| NPI | 1053112276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAMANTHA KNARR Mental Health Therapist 765-480-4214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-03-24 |
| Last Update Date | 2025-03-24 |