| NPI | 1942622865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY A BAILEY Owner, CEO 260-705-4395 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005563A) |
| Enumeration Date | 2014-01-11 |
| Last Update Date | 2014-01-11 |