| NPI | 1467801209 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL DAVID DOAN Licensed Mental Health Counselor 765-720-0828 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |