| NPI | 1538298401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE D DEDELOW Diocesan Director 219-886-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 5603009850243) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-10-30 |