| NPI | 1871172478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL D SCHRECK Executive Director 260-218-8299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| Enumeration Date | 2021-04-02 |
| Last Update Date | 2021-04-02 |