| NPI | 1316990880 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS WAYNE EDWARDS President 765-446-9898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: IN 35001121A) |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2008-07-16 |