| NPI | 1598537136 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT FEARS Owner 219-339-4163 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 251S00000X |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2023-10-26 |
| Last Update Date | 2023-10-26 |