| NPI | 1144542127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY B. THARP Director 812-423-5816 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 39002097A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39002097A) |
| Enumeration Date | 2010-02-18 |
| Last Update Date | 2010-02-18 |