| NPI | 1750177259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA GLICK Licensed Mental Health Counselor 260-255-6355 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-04-19 |
| Last Update Date | 2025-04-19 |