| NPI | 1619181757 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY H BRYANT President Owner 574-286-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20010389A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004946A) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34004850A) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2020-08-22 |