| NPI | 1487903159 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIAN K SULLIVAN Owner 260-451-2500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001106a) |
| Enumeration Date | 2012-09-10 |
| Last Update Date | 2015-03-13 |