| NPI | 1700163102 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTIN GARY GROFF President 317-844-7489 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20010411A) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2011-11-14 |