| NPI | 1316766983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN RIPBERGER Clinical Director 765-697-9567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |