| NPI | 1356520977 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY ALLAN ONKKA President 574-232-5237 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: IN 20040221A) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2009-03-13 |