| NPI | 1134262595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE GALEA Office Manager 574-288-0215 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology (Licence: IN 01030000) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2009-08-03 |