NPI | 1366449043 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES RICE President/Psychologist 317-578-4213 |
Organization Subpart ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: IN 57000024A) |
Enumeration Date | 2005-07-07 |
Last Update Date | 2009-09-30 |