| NPI | 1952681504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI EILEEN GROVES Marriage And Family Therapist 219-866-7869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2011-08-26 |
| Last Update Date | 2013-04-24 |