| NPI | 1053650887 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD C. LEWIS Owner 219-743-3907 |
| Organization Subpart ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: IN 70000167A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2013-02-14 |
| Last Update Date | 2024-05-19 |