| NPI | 1144731548 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SCANNELL Owner/Therapist 219-286-3255 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 201710021217004) |
| Enumeration Date | 2017-10-12 |
| Last Update Date | 2017-10-12 |