| NPI | 1699456863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL BARRERA Owner/Counselor 219-616-7336 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2023-07-31 |