| NPI | 1528959491 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY MICHAEL MCCROVITZ Executive Director 219-921-5492 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2025-07-10 |
| Last Update Date | 2025-07-10 |