| NPI | 1851976641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA L BROOKS Office Manager 219-769-7861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0402X Psychiatry & Neurology Neurology with Special Qualifications in Child Neurology |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-03-12 |