| NPI | 1558006007 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | APRIL GILMAN Practice Manager 219-791-1006 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2022-04-29 |
| Last Update Date | 2025-12-02 |