| NPI | 1063788008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA MARIE BRANWELL Licensed Independent Social Worker 260-243-0655 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH 1.1200272) |
| Enumeration Date | 2012-03-23 |
| Last Update Date | 2012-07-06 |