| NPI | 1609061316 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY L RUPP President 574-262-1088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34004488A) |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |