| NPI | 1669778866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN S LOHSE Owner 219-395-6637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001814A) |
| Enumeration Date | 2011-02-04 |
| Last Update Date | 2011-02-04 |