| NPI | 1316356504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE WEBER Owner 219-229-0109 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2014-08-12 |
| Last Update Date | 2022-08-09 |