| NPI | 1720323819 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA L KENNEDY HERRMANN President 219-393-9033 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006146A) |
| Enumeration Date | 2012-11-30 |
| Last Update Date | 2013-11-14 |