NPI | 1003040742 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH P DELLINGER Administrator 317-690-6013 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist |
Additional Taxonomies | 101Y00000X Counselor |
101YP2500X Counselor, Professional | |
104100000X Social Worker | |
1041C0700X Social Worker, Clinical | |
Enumeration Date | 2009-05-11 |
Last Update Date | 2009-05-11 |