| NPI | 1255454120 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY D EDWARDS Owner, Single Member 219-808-0793 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 99025162A) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2014-02-04 |