| NPI | 1740555259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN ULLRICH President 260-432-7510 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34000828A) |
| Enumeration Date | 2012-03-16 |
| Last Update Date | 2012-03-16 |