NPI | 1467929554 |
---|---|
Entity Type | Organization |
Authorized Contact | APRIL KWIATKOWSKI Managing Member 574-250-2748 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2018-10-27 |
Last Update Date | 2018-10-27 |