| NPI | 1992054712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIM SIMIC President 219-681-6830 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 01040307B) |
| Enumeration Date | 2012-09-07 |
| Last Update Date | 2012-09-07 |