NPI | 1942451224 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD D. ROWRAY Chief Executive Officer 765-289-5437 |
Organization Subpart ? | No |
Primary Taxonomy | 103TH0100X Psychologist, Health Service (Licence: IN 20041804A) |
Enumeration Date | 2008-10-06 |
Last Update Date | 2008-10-06 |