| NPI | 1760549257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALLAS E. MULVANEY Clinical Director 317-254-0435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: IN 20040892A) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2020-08-22 |