| NPI | 1245502004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LYNNE ENSIGN Owners 219-791-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003266A) |
| Enumeration Date | 2012-02-08 |
| Last Update Date | 2012-04-27 |