NPI | 1689170938 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN ROEHM Therapist/Owner 812-550-5154 |
Organization Subpart ? | No |
Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 3299) |
Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 3299) |
171M00000X Case Manager/Care Coordinator | |
Enumeration Date | 2018-04-04 |
Last Update Date | 2022-12-16 |