| 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 |