| NPI | 1588808752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN ALEXANDER LEON President/CEO 219-864-0156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000758A) |
| Enumeration Date | 2009-04-30 |
| Last Update Date | 2009-04-30 |