| NPI | 1336574748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOAN LOUISE PONTIUS Therapist 574-360-3305 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Enumeration Date | 2013-09-05 |
| Last Update Date | 2013-09-05 |