| NPI | 1780052928 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALIA DAWN OSBORN Owner 260-494-2205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 33006408A) |
| Enumeration Date | 2015-09-03 |
| Last Update Date | 2015-09-03 |