| NPI | 1174562532 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH A. RICHARD Vice President 219-933-7111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 01194049310012) |
| Additional Taxonomies | 251B00000X Case Management (Licence: IN 01194049310012) |
| Enumeration Date | 2006-06-04 |
| Last Update Date | 2010-02-19 |