| NPI | 1205881638 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE TRAVIS Director 219-884-2285 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 35001077A) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2020-08-22 |