| NPI | 1306864467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLORNA A UCENY President 574-935-9449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2011-01-20 |