| NPI | 1639872476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MEGAN STROUP President 765-661-0670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2023-03-22 |
| Last Update Date | 2023-03-22 |