| NPI | 1780174177 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY ELIZABETH CHAFFEE Sole Proprietor 260-804-4544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007666A) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2018-05-11 |