| NPI | 1205275351 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA M ROEGNER Owner 765-453-4500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103T00000X Psychologist |
| 101YM0800X Counselor, Mental Health | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2013-06-21 |
| Last Update Date | 2013-10-10 |