| NPI | 1003979964 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REA TECSON CFO 812-479-1411 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
| Additional Taxonomies | 261QD1600X Clinic/Center, Developmental Disabilities |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2024-01-23 |