NPI | 1134206535 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN B. HINES President 812-491-1805 |
Organization Subpart ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: IN 20041439A) |
Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004767A) |
Enumeration Date | 2006-11-01 |
Last Update Date | 2022-07-21 |