| NPI | 1437301132 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BLANTON S. BEATHEA Executive Director 574-333-3308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2008-10-14 |