NPI | 1508215591 |
---|---|
Entity Type | Organization |
Authorized Contact | TAMARA LEE IMEL Owner 765-744-9597 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001395A) |
Enumeration Date | 2016-06-09 |
Last Update Date | 2016-06-09 |