| NPI | 1104158583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER KALIN THORPE Director 219-880-1903 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 33005517a) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 33005517a) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 33005517a) | |
| 101YM0800X Counselor, Mental Health (Licence: IN 33005517a) | |
| 101YP1600X Counselor, Pastoral (Licence: IN 33005517a) | |
| 101YP2500X Counselor, Professional (Licence: IN 33005517a) | |
| 101YS0200X Counselor, School (Licence: IN 33005517a) | |
| 103K00000X Behavior Analyst (Licence: IN 33005517a) | |
| 103T00000X Psychologist (Licence: IN 33005517a) | |
| 104100000X Social Worker (Licence: IN 33005517a) | |
| 1041C0700X Social Worker, Clinical (Licence: IN 33005517a) | |
| 1041S0200X Social Worker, School (Licence: IN 33005517a) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 33005517a) | |
| 251B00000X Case Management (Licence: IN 33005517a) | |
| Enumeration Date | 2010-02-09 |
| Last Update Date | 2010-02-09 |