| NPI | 1407917966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN WILLIAM BLANKS President 260-424-0411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000785A) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2022-04-02 |