NPI | 1447638903 |
---|---|
Entity Type | Organization |
Authorized Contact | DONNA PHALEN Director 219-554-4548 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 99067018A) |
Enumeration Date | 2015-05-15 |
Last Update Date | 2023-02-13 |