| NPI | 1225695745 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANNA COOPER-BOLINSKEY Therapist 812-230-1699 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2019-05-20 |
| Last Update Date | 2019-05-20 |