| NPI | 1790547420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALYSSA WORSHAM Licensed Mental Health Counselor 574-243-9370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2025-01-05 |