| NPI | 1811240690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGUERITE KAY WISE Owner 260-482-2586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 35000653A) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: IN 35000653A) |
| 101YM0800X Counselor, Mental Health (Licence: IN 33000819A) | |
| 104100000X Social Worker (Licence: IN 33000819A) | |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2013-07-03 |