| NPI | 1457137069 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN SCHENKE Licensed Counselor 260-222-7516 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |