| NPI | 1811291248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZANA A KHAN President 219-455-8155 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 01038685) |
| Enumeration Date | 2010-12-28 |
| Last Update Date | 2019-06-28 |