| NPI | 1710229216 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL J MASCHINO Owner 765-376-3043 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006127A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34006154A) |
| Enumeration Date | 2013-03-22 |
| Last Update Date | 2014-03-12 |