| NPI | 1376098491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY ALICE REED Licensed Clinical Social Worker 260-267-0497 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001071) |
| Enumeration Date | 2016-08-18 |
| Last Update Date | 2018-08-11 |