NPI | 1336233824 |
---|---|
Entity Type | Organization |
Authorized Contact | CONSTANCE STAMPER President 574-266-1891 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004269A) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2008-07-03 |