| NPI | 1477905099 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBRA O'BREIN Executive Director 260-424-5814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2016-07-07 |