| NPI | 1700482569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY KATHERINE CRESPO-RICHARDSON Owner And Provider 219-229-2300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2020-12-08 |
| Last Update Date | 2020-12-16 |