| NPI | 1326420373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN C MCPHERREN Board Member 260-359-4225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YM0800X Counselor, Mental Health | |
| 103G00000X Clinical Neuropsychologist | |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2015-06-26 |