| NPI | 1699503136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VANESSA JONES Owner 260-267-5631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2024-07-25 |
| Last Update Date | 2024-07-25 |