| NPI | 1124858063 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRAVIS DOBREY Owner 812-228-4040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| 261QM0850X Clinic/Center, Adult Mental Health | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| Enumeration Date | 2024-08-06 |
| Last Update Date | 2025-03-30 |