NPI | 1235773664 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT JAMES DUTKO Co Partner 219-730-2909 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2019-10-29 |
Last Update Date | 2019-10-29 |