| NPI | 1295326064 |
|---|---|
| Doing Business As | FAMILY WELLNESS CENTER LLC |
| Entity Type | Organization |
| Authorized Contact | SHANNON S JOHNSON Owner 219-531-0111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2021-02-03 |
| Last Update Date | 2024-01-18 |