| NPI | 1457814139 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIAH RUFFIN Owner 260-431-1213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 385H00000X Respite Care |
| Enumeration Date | 2019-04-10 |
| Last Update Date | 2019-04-10 |