| NPI | 1104692847 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBBIE WARMAN Clinical Psychologist 317-903-7830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TB0200X Psychologist, Cognitive & Behavioral |
| Enumeration Date | 2023-12-04 |
| Last Update Date | 2023-12-04 |