| NPI | 1346792702 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANET MCBRIDE Executive Director 812-243-9246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 34002540A) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 87001181A) |
| Enumeration Date | 2016-11-01 |
| Last Update Date | 2016-11-01 |