| NPI | 1013355460 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TODD ALAN WHITLER Owner/ Clinician 812-454-8829 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34006278A) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2013-06-07 |