| NPI | 1124736715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER EMMONS CEO 812-494-7800 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2022-11-11 |
| Last Update Date | 2024-03-25 |