| NPI | 1104996719 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP SCOTT PARKER President, CEO 317-650-1105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041153A) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2020-08-22 |