| NPI | 1245502624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE M VANHORSSEN Owner 219-310-8693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 340054738A) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2012-02-01 |