| NPI | 1699088054 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD BOWERS Executive Director 219-923-8110 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005746A) |
| Enumeration Date | 2010-07-14 |
| Last Update Date | 2010-07-14 |