| NPI | 1356583637 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELIA ROSE KIRKMAN President 812-446-4673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34003195A) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IN 35000028A) |
| 251S00000X Community/Behavioral Health (Licence: IN 39001081A) | |
| Enumeration Date | 2009-04-01 |
| Last Update Date | 2009-04-01 |