| NPI | 1700322559 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROLYN ANN THORPE CEO 219-545-5831 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 33005517A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000416A) |
| Enumeration Date | 2017-01-17 |
| Last Update Date | 2024-01-31 |