| NPI | 1710435094 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SIDARTH SINGH Owner 219-836-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| 208D00000X General Practice | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2018-02-28 |