| NPI | 1639636400 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA E HOUZE Licensed Mental Health Counselor 765-250-5981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-02-27 |
| Last Update Date | 2019-02-27 |