| NPI | 1356818785 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARBARA A OSBORN Managing Member 765-404-4987 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2018-10-24 |
| Last Update Date | 2024-02-07 |