| NPI | 1124713763 |
|---|---|
| Doing Business As | TELL CITY CLINIC BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LEE HINTON Provider Enrollment 812-772-0589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center, Rural Health |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-04-10 |
| Last Update Date | 2023-04-10 |