| NPI | 1285111278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN DELCOURT Sole Member/President 574-850-4267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34007827A) |
| Enumeration Date | 2018-07-23 |
| Last Update Date | 2018-07-23 |