NPI | 1801948062 |
---|---|
Entity Type | Organization |
Authorized Contact | LINDA S BURKE Owner/Clinical Supv 812-944-1550 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041227A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34005077A) |
Enumeration Date | 2007-01-17 |
Last Update Date | 2014-03-11 |