| NPI | 1437375888 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AGNES CECILIA OSTERHOLT-POLSTON President 260-969-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2008-07-01 |