NPI | 1720250756 |
---|---|
Entity Type | Organization |
Authorized Contact | F. GEOFFREY SAMORA President 574-232-5065 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002397A) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39000590A) |
103T00000X Psychologist (Licence: IN 20040221A) | |
Enumeration Date | 2008-03-31 |
Last Update Date | 2011-12-07 |