| NPI | 1275840886 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY D SIMPSON President 219-689-7632 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20042274A) |
| Enumeration Date | 2010-09-02 |
| Last Update Date | 2010-09-02 |