| NPI | 1811733553 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY ROBINSON CEO 219-487-9499 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2024-07-02 |
| Last Update Date | 2024-10-16 |