| NPI | 1831582089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A ROBERTSON Partner, Therapist 260-274-0230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-03-12 |
| Last Update Date | 2016-07-07 |