| NPI | 1306337308 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHAWA TORRES Owner 260-479-7046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101Y00000X Counselor (Licence: IN 35002007A) |
| 106H00000X Marriage & Family Therapist (Licence: IN 35002007A) | |
| Enumeration Date | 2018-05-24 |
| Last Update Date | 2018-07-03 |