| NPI | 1477159622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHRYN F ZECKEL Owner Clinician 219-561-0168 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| Enumeration Date | 2020-12-11 |
| Last Update Date | 2022-03-09 |