| NPI | 1659859619 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA N LOMBARD Licensed Clinical Psychologist 260-436-7131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2023-06-23 |