| NPI | 1679971303 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER S MITCHELL Partner/Counselor 574-267-7890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39001513A) |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2014-12-11 |