| NPI | 1790101715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROXANNE VALERIE KALCH President 219-392-3701 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34006093) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 86000172A) |
| 1041C0700X Social Worker, Clinical (Licence: IN 33005112A) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001323A) | |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2014-03-14 |