| NPI | 1881093706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BRADLEY WERTH Owner / Clinical Director 765-427-5758 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: IN 34004717A) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN 87000637A) |
| Enumeration Date | 2014-08-15 |
| Last Update Date | 2014-08-15 |