| NPI | 1619448834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLY HOEFLE Director 574-294-7447 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2018-12-16 |