NPI | 1518053115 |
---|---|
Entity Type | Organization |
Authorized Contact | KAREN MORRIS Owner 574-247-1550 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001654A) |
Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000880A) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2017-05-03 |