NPI | 1215486360 |
---|---|
Entity Type | Organization |
Authorized Contact | KARENA S HOCHSTETLER Menber 574-536-0395 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007636A) |
Enumeration Date | 2016-09-30 |
Last Update Date | 2016-10-05 |