| NPI | 1437230745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GENEVA L. OSAWE Director 219-980-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000001) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2020-08-22 |