| NPI | 1881810273 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID REEVES Clinical Director 765-962-8843 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |