| NPI | 1225330285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANTOSH K SINGH Owner 765-668-8071 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 01035011A) |
| Additional Taxonomies | 2084P0805X (Licence: IN 01035011A) |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |