| NPI | 1558006007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL GILMAN Office Manager 219-929-5367 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 163WA0400X Registered Nurse Addiction (Substance Use Disorder) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2022-05-20 |