| NPI | 1508046624 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY C HINCHMAN Office Manager 574-258-6316 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: IN 02001423A) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2007-11-21 |