| NPI | 1427354901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AUTUMN M. VENDRAMIN Owner 219-508-1594 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2011-02-01 |
| Last Update Date | 2014-06-05 |