| NPI | 1801978762 |
|---|---|
| Other Name | COMMUNITY GROUP CLINICIANS |
| Entity Type | Organization |
| Authorized Contact | THOMAS P FISCHER Chief Financial Officer 317-355-4887 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103G00000X Clinical Neuropsychologist |
| Enumeration Date | 2006-10-19 |
| Last Update Date | 2008-05-09 |