| NPI | 1548780943 |
|---|---|
| Doing Business As | PBW |
| Entity Type | Organization |
| Authorized Contact | TANYA ANNETTE BURNS Manger 219-765-8161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 34007856A) |
| Enumeration Date | 2017-06-27 |
| Last Update Date | 2022-07-21 |