Provider Demographics
NPI:1619448834
Name:CENTER FOR PROBLEM RESOLUTION
Entity type:Organization
Organization Name:CENTER FOR PROBLEM RESOLUTION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY
Authorized Official - Middle Name:
Authorized Official - Last Name:HOEFLE
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LCAC, LMHC
Authorized Official - Phone:574-294-7447
Mailing Address - Street 1:211 S 5TH ST
Mailing Address - Street 2:
Mailing Address - City:ELKHART
Mailing Address - State:IN
Mailing Address - Zip Code:46516-2834
Mailing Address - Country:US
Mailing Address - Phone:574-294-7447
Mailing Address - Fax:
Practice Address - Street 1:211 S 5TH ST
Practice Address - Street 2:
Practice Address - City:ELKHART
Practice Address - State:IN
Practice Address - Zip Code:46516-2834
Practice Address - Country:US
Practice Address - Phone:574-294-7447
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:CENTER FOR PROBLEM RESOLUTION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-16
Last Update Date:2018-12-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty