| NPI | 1164572913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA KAY LEE STOOPS Owner 260-416-0600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001280A) |
| Enumeration Date | 2007-01-12 |
| Last Update Date | 2008-08-08 |