| NPI | 1134118276 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD KENT WHITAKER Associate Director/CFO 812-482-3020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2013-10-30 |