Organization
LIFE MENTORING INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROBERT JAMES DUTKO (CO-PARTNER)
(219) 730-2909
Entity
Organization
Contact information
Practice address
123 HARRINGTON AVE APT 2B, CROWN POINT, IN 46307-3843
(219) 730-2909
Mailing address
123 HARRINGTON AVE APT 2B, CROWN POINT, IN 46307-3843
(219) 730-2909
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/29/2019
Last updated
10/29/2019
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