NPI | 1417830969 |
---|---|
Entity Type | Organization |
Authorized Contact | COURTNEY DAVIES Owner 260-348-5100 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2025-07-30 |
Last Update Date | 2025-07-30 |