| NPI | 1538465752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA M BODNAR Sole Owner 574-277-2525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001331A) |
| Enumeration Date | 2011-02-05 |
| Last Update Date | 2011-02-05 |