| NPI | 1215477666 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY OOLEY Tin Owner 812-272-7027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34007579A) |
| Enumeration Date | 2017-03-06 |
| Last Update Date | 2019-06-17 |