| NPI | 1952754301 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORETHA MICHELE MCBRIDE Owner/CEO/Therapist 219-226-5567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IN 34007000A) |
| Enumeration Date | 2016-07-21 |
| Last Update Date | 2023-04-11 |