| NPI | 1063415297 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN R. SHELTON President 812-282-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: IN 50003891A) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 50003891A) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 50003891A) | |
| Enumeration Date | 2005-05-23 |
| Last Update Date | 2015-10-14 |