| NPI | 1326392150 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA HANCOCK Executive Director 574-360-4066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 34004712A) |
| Enumeration Date | 2012-10-31 |
| Last Update Date | 2012-10-31 |