NPI 1104134022

Debra Corn Agency

Organisation Community/Behavioral Health Agency Lafayette, IN

Practice location

Address: 200 Professional CT STE a, Lafayette, IN 47905-5134
Phone: (765) 479-2409

Authorised official

Name: Aja Mutzl
Title: Marriage & Family Therapist
Phone: (765) 449-1992

Registered specialties

Community/Behavioral Health Agency Primary

Agencies Taxonomy 251S00000X

Other Community/Behavioral Health providers in Indiana →

Registry record

NPI: 1104134022
Entity type: Organization
NPI issued: 14 Sep 2010
Record last updated: 14 Sep 2010

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.