NPI | 1851672232 |
---|---|
Entity Type | Organization |
Authorized Contact | TIMOTHY DAVID THEYE President 260-450-6068 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: IN 34004130A) |
Enumeration Date | 2011-08-30 |
Last Update Date | 2011-08-30 |