| NPI | 1356728901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA STORY Owner/Therapist 574-904-9959 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 35001875A) |
| Enumeration Date | 2015-05-04 |
| Last Update Date | 2015-05-04 |