| NPI | 1902823891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM MARIE SMITH President 260-436-5986 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 34002738A) |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2020-08-22 |