| NPI | 1801530365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY AGUILAR Owner 260-333-9703 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-04-21 |
| Last Update Date | 2022-11-02 |