| NPI | 1164587606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEWNZAR HOWARD Owner Physician 219-934-4100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0805X Psychiatry & Neurology, Geriatric Psychiatry (Licence: IN 01039634) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2007-12-06 |