| NPI | 1083992705 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JIM BURNS Executive Director 219-462-9200 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103G00000X Clinical Neuropsychologist | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist (Licence: IN 20042525A) | |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2011-07-29 |
| Last Update Date | 2012-01-19 |