| NPI | 1265112049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDEN GRECULA Founder 219-316-2217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 3245S0500X Substance Abuse Rehabilitation Facility, Substance Abuse Treatment, Children | |
| Enumeration Date | 2023-07-18 |
| Last Update Date | 2023-07-18 |