| NPI | 1669938957 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIELLE DENISE MCKENZIE Therapist 765-576-0778 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2019-02-12 |
| Last Update Date | 2019-02-12 |