| NPI | 1740489939 |
|---|---|
| Doing Business As | SOUTH BEND MENTAL HEALTH ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | ALAN H WAX Psychologist/President 574-255-1162 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 57000133A) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IN 57000133A) |
| 103TC0700X Psychologist, Clinical (Licence: IN 57000133A) | |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2008-06-18 |