| NPI | 1588105225 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMBER WEHLE Owner 219-323-3311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20042839A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87001571A) |
| 103T00000X Psychologist (Licence: IN 20042618A) | |
| Enumeration Date | 2017-03-14 |
| Last Update Date | 2024-10-21 |