| NPI | 1144885674 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARA MUSCO Clinical Director 219-644-7130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 106S00000X Behavior Technician | |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2023-10-21 |