| NPI | 1811450646 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRACY LYNN CAIN Owner/Mental Health Counselor Assoc 260-230-1180 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-04-09 |
| Last Update Date | 2019-04-09 |