| NPI | 1760753909 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JODY LILLICH HUGHES Owner 574-855-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005886A) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2012-01-19 |