NPI | 1972933349 |
---|---|
Entity Type | Organization |
Authorized Contact | CATHERINE ANDERSON Clinical Manager 219-886-1320 |
Organization Subpart ? | No |
Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 0103158A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 344004861A) |
1041C0700X Social Worker, Clinical (Licence: IN 34002639A) | |
163W00000X Registered Nurse (Licence: IN 28072804A) | |
Enumeration Date | 2013-11-20 |
Last Update Date | 2013-11-20 |