| NPI | 1700671153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN KOLDENHOVEN Licensed Clinical Social Worker 260-416-2054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2025-04-14 |
| Last Update Date | 2025-04-14 |