NPI | 1700490893 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTOPHER LOWE Clinical Psychologist 574-265-1854 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-09-04 |
Last Update Date | 2020-09-04 |