| NPI | 1154893543 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM DENISE HOLMES Social Worker/CEO 219-741-3723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2018-12-22 |
| Last Update Date | 2018-12-22 |