| NPI | 1750140521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN M. STEPHENSON Therapist 260-740-1092 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-03-22 |