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 |