| NPI | 1316499395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARABAI ROSE BECZKIEWICZ Tin Owner 812-624-1864 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34007534A) |
| Enumeration Date | 2016-10-26 |
| Last Update Date | 2016-11-08 |