| NPI | 1124662226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENIFER MUDD-CHAMBERLAIN Owner 765-231-6922 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2024-06-03 |