| NPI | 1285184887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGHAN SCANLAN HENNING Owner 574-229-2357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: CO 2015) |
| Enumeration Date | 2016-10-06 |
| Last Update Date | 2016-10-06 |