| NPI | 1811163512 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D ROWRAY Chief Executive Officer 765-289-5437 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry |
| Additional Taxonomies | 103TH0100X Psychologist, Health Service |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |