| NPI | 1093431710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABBIE JONES Psychologist; Owner 812-214-5152 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TH0100X Psychologist Health Service |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103T00000X Psychologist | |
| 103TC0700X Psychologist Clinical | |
| 207Q00000X Family Medicine | |
| 261QH0100X Clinic/Center Health Service | |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| 261QP2300X Clinic/Center Primary Care | |
| 261QR1300X Clinic/Center Rural Health | |
| 363LP2300X Nurse Practitioner Primary Care | |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2024-06-04 |