| NPI | 1124436936 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCELMARIE SMITH President 219-882-4010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: IN 20041768A) |
| Enumeration Date | 2014-07-24 |
| Last Update Date | 2014-07-24 |