| NPI | 1427547744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELINE GASPAROVIC Owner 219-286-7258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006222A) |
| Enumeration Date | 2018-05-02 |
| Last Update Date | 2018-05-02 |