| NPI | 1275353450 |
|---|---|
| Doing Business As | JILISSA COPELAND |
| Entity Type | Organization |
| Authorized Contact | JILISSA COPELAND CEO 219-246-8873 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2024-10-14 |
| Last Update Date | 2024-10-14 |