| NPI | 1891979084 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN E. PETERSON Chief Executive Officer 765-447-9545 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001361A) |
| Enumeration Date | 2007-12-24 |
| Last Update Date | 2008-09-17 |