| NPI | 1396121182 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLEN BLACKBURN CEO, Mental Health Therapist 765-446-0006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IN 39002659A) |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2017-04-11 |