| NPI | 1285880328 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT LEE WILSON Clinical Director 812-421-3806 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 4206533124) |
| Enumeration Date | 2008-08-08 |
| Last Update Date | 2008-08-08 |