| NPI | 1922137975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUANE D DEDELOW Executive Director 219-886-3549 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 56030098 50243) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2013-10-31 |