| NPI | 1053997353 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIKELLA CHRISMAN Executive Director 812-577-6578 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2021-03-18 |
| Last Update Date | 2021-03-18 |