| NPI | 1184213332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COURTNEY L MOORE Owner And Sole Provider 812-345-7268 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2021-01-12 |
| Last Update Date | 2021-01-19 |