| NPI | 1538203997 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT J ADAMS President 765-778-0380 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2007-02-19 |
| Last Update Date | 2020-08-22 |