| NPI | 1861210247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRELL JERMAINE BROWN Owner/ Clinical Addiction Therapist 260-234-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-02 |