| NPI | 1558848085 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA RENEE EINSELEN Mental Health Counselor 574-370-3978 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002795A) |
| Enumeration Date | 2018-07-26 |
| Last Update Date | 2018-07-26 |