| NPI | 1659031797 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER HUMPHREYS Board Certified Behavior Analyst 219-525-7286 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2021-12-29 |
| Last Update Date | 2021-12-29 |