| NPI | 1114253218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VEROINCA RAMOS-CLARK Director 219-548-9400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 1194-0-ASO) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 1194-0-ASO) |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2009-10-23 |