NPI | 1144901992 |
---|---|
Entity Type | Organization |
Authorized Contact | ESTELLA GANGER President/Owner 574-318-8927 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2023-07-25 |
Last Update Date | 2023-08-01 |