| NPI | 1972881274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RICHARD GERBER Executive Director/Counselor 765-289-1631 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2011-08-03 |