| NPI | 1346629748 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY D MURRAY Licensed Clinical Social Work 765-977-1436 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: MO 2015000974) |
| Enumeration Date | 2015-05-19 |
| Last Update Date | 2015-06-13 |