| NPI | 1558557678 |
|---|---|
| Former Legal Business Name | N/A |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W KEEFE Owner 219-844-5362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001307A) |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2007-09-21 |