| NPI | 1104296011 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN ANN THORPE Clinical Manager 219-427-0193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006764a) |
| Enumeration Date | 2015-10-05 |
| Last Update Date | 2015-10-05 |