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 |