| NPI | 1255149324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDON NIELSEN Owner 812-341-6680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-12-20 |
| Last Update Date | 2024-12-20 |