| NPI | 1104299783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY CLAASSEN DICK Sole Member 574-238-5842 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34001401A) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |