| NPI | 1336448893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARYN BROWN Pretsiden 219-756-8944 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041341A) |
| Enumeration Date | 2011-03-23 |
| Last Update Date | 2011-03-23 |