| NPI | 1023121027 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J URBAN Owner 812-235-6121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 101YM0800X Counselor Mental Health | |
| Enumeration Date | 2006-08-16 |
| Last Update Date | 2025-04-24 |