| NPI | 1528181476 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNE TRIFONE President 219-921-0705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20040996) |
| Enumeration Date | 2007-04-07 |
| Last Update Date | 2011-09-16 |