| NPI | 1255755013 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY BROWN Owner 765-760-3955 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001560A) |
| Enumeration Date | 2014-02-13 |
| Last Update Date | 2014-02-25 |