| NPI | 1801192026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA E WETZEL Sole Provider 574-243-7730 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001342A) |
| Enumeration Date | 2011-02-05 |
| Last Update Date | 2014-04-23 |