| NPI | 1114193679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER A MILLER Owner 574-534-2161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003868A) |
| Enumeration Date | 2008-05-05 |
| Last Update Date | 2008-09-05 |