| NPI | 1497233647 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TARA MILLER Owner/Counselor 574-933-1201 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005729A) |
| Enumeration Date | 2018-07-31 |
| Last Update Date | 2018-07-31 |