| NPI | 1942561162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PRISCILLA SMITH Chief Executive Officer 219-331-4794 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2012-06-05 |
| Last Update Date | 2022-07-21 |