| NPI | 1083363022 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY CAUDELL Owner 812-890-3327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2022-03-18 |
| Last Update Date | 2022-03-31 |