| NPI | 1265820393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M THORN KISH President 765-414-8227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34003983A) |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2014-12-23 |