| NPI | 1871826172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER MALINOSKI President 317-536-5482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 57000127A) |
| Enumeration Date | 2009-09-17 |
| Last Update Date | 2009-09-17 |