| NPI | 1801040530 |
|---|---|
| Doing Business As | DR. CAROL EDWARDS |
| Entity Type | Organization |
| Authorized Contact | CAROL B EDWARDS Clinical Psychologist 219-791-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 20041414A) |
| Enumeration Date | 2008-11-07 |
| Last Update Date | 2008-11-07 |