| NPI | 1538319421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D. ROWRAY Chief Executive Officer 765-289-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: IN 20042115A) |
| Enumeration Date | 2008-09-26 |
| Last Update Date | 2008-09-26 |