| NPI | 1811365604 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DEVINNEY Health Service Provider Psychology 574-286-0055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-09-10 |
| Last Update Date | 2015-09-10 |