| NPI | 1225427586 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE KISER Marriage And Family Therapist 260-710-5651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 35001593A) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |