NPI | 1386058428 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL MCARTHUR Owner 574-267-1700 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000781A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39001310A) |
Enumeration Date | 2014-06-17 |
Last Update Date | 2018-03-17 |