| NPI | 1992550834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOROTHY RUTHERFORD-STEISS Lchmc 219-218-2926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling |
| Enumeration Date | 2024-04-23 |
| Last Update Date | 2024-05-13 |