| NPI | 1154831378 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN CADWALLADER President 317-780-1610 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042987A) |
| Enumeration Date | 2017-10-02 |
| Last Update Date | 2017-10-02 |