| NPI | 1962807081 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA MARIE LITTELL Licensed Clinical Social Worker 219-741-1632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: IL 149017068) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |