| NPI | 1063752517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH E. BERNARD Owner 219-203-2343 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000481A) |
| Enumeration Date | 2013-02-20 |
| Last Update Date | 2013-02-20 |