| NPI | 1174619654 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | C LAUDIA D DAVIS President/CEO 260-418-6765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004602A) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2020-08-22 |