| NPI | 1932441631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARZANA A KHAN CEO 219-397-6369 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) (Licence: IN 1038685) |
| Enumeration Date | 2013-03-20 |
| Last Update Date | 2019-06-28 |