| NPI | 1174897003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FRANCIS GAZARKIEIWCZ Clinical Psychologist / President 219-879-8580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042249A) |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2012-02-23 |