| NPI | 1871764068 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A. HALE Owner 765-236-1964 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39000223A) |
| Enumeration Date | 2008-03-17 |
| Last Update Date | 2011-03-10 |