| NPI | 1619927589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD W. RIDENOUR Executive Director 765-457-9313 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2020-08-22 |