| NPI | 1053866053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA L TRENTA Owner 812-345-5321 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004881A) |
| Enumeration Date | 2016-08-19 |
| Last Update Date | 2016-08-19 |