| NPI | 1285112060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW KONOW Executive Director 260-373-0213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2018-08-02 |
| Last Update Date | 2018-08-02 |