| NPI | 1437478864 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC WAYNE FOSTER Owner 574-936-3377 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000890A) |
| Enumeration Date | 2010-05-25 |
| Last Update Date | 2010-05-25 |