| NPI | 1174078893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROB DANZMAN Clinical Director 812-727-0722 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2016-08-23 |
| Last Update Date | 2016-08-23 |