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 |