| NPI | 1497076749 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID N LOMBARD President/Owner 260-459-2900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: IN 20041481A) |
| Enumeration Date | 2010-06-21 |
| Last Update Date | 2010-06-21 |