NPI | 1619432119 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERRIE ANN SHIVOK Owner 219-241-0212 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-02-08 |
Last Update Date | 2024-11-04 |