| NPI | 1336698943 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA TEVERBAUGH Chief Financial Officer 574-485-1802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006551A) |
| Enumeration Date | 2016-09-23 |
| Last Update Date | 2016-09-23 |