| NPI | 1306130927 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DAWN ARVIN Owner 812-598-4960 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34004923A) |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-05-31 |