Organization Name: | ADAPTIVE BEHAVORIAL COUNSELING RESOURCES |
NPI Number: | 1063560456 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | WALTER D MUNN (OWNER) |
Mailing Address: | 1420 Commodore Ln Porter |
State: | IN US |
Postal Code: | 463049571 |
Phone Number: | 3032962244 |
Fax Number: | 3032961709 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 06/13/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 103TC0700X |
License Number: | 20040651A |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Psychologist |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: |