| NPI | 1093774796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRIA D MCGEE-LYTLE CEO 260-422-9800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040231) |
| Enumeration Date | 2006-03-21 |
| Last Update Date | 2020-08-22 |