| NPI | 1689785313 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA A FOX Owner 260-402-1824 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000311A) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2008-04-08 |