| NPI | 1710303904 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREW THOMAS ZEILBECK CEO 219-575-1437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103K00000X Behavior Analyst |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2014-03-12 |