| NPI | 1740038546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE SEARS Therapist 574-270-1114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-05-08 |
| Last Update Date | 2024-05-08 |