| NPI | 1295241032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD HACKER President/Mental Health Counselor 574-316-0201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Enumeration Date | 2017-12-15 |
| Last Update Date | 2017-12-15 |