| NPI | 1205915477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE WARNER ASHBY President 260-336-3362 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041285A) |
| Enumeration Date | 2006-11-06 |
| Last Update Date | 2009-03-16 |