| NPI | 1578768925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA KAE HAMILTON President 317-713-1216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20041611A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004896A) |
| Enumeration Date | 2007-06-17 |
| Last Update Date | 2010-07-15 |