| NPI | 1295436228 |
|---|---|
| Doing Business As | DAVID KININGHAM |
| Entity Type | Organization |
| Authorized Contact | DAVID ALLEN KININGHAM President 260-444-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2023-03-16 |
| Last Update Date | 2023-03-16 |