| NPI | 1043459894 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRY L STAWAR CEO 812-280-2080 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: IN IN01043877) |
| Enumeration Date | 2009-02-18 |
| Last Update Date | 2009-02-18 |