| NPI | 1922419852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELL M LANE Co Founder, Counselor 260-417-4801 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IN 39002596A) |
| Additional Taxonomies | 251B00000X Case Management (Licence: IN 39002596A) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2014-05-14 |