| NPI | 1134506843 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AQUANATTE RUFFIN CEO 219-614-9022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005329A) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2015-05-01 |