| NPI | 1275760696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J. ROBERTS Neuropsychologist 765-450-8204 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: IN 20040614A) |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2009-06-11 |
| Last Update Date | 2024-11-14 |