| NPI | 1487954517 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER R. WEBER Owner 574-533-6249 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000422A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000142A) |
| Enumeration Date | 2010-10-22 |
| Last Update Date | 2010-10-22 |