NPI | 1104820083 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID S ROZENFELD President/CEO 219-836-2995 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01030711A) |
Enumeration Date | 2005-06-09 |
Last Update Date | 2014-03-17 |