| NPI | 1366883274 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER M HUDSON Owner 812-361-1234 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34005660A) |
| Enumeration Date | 2013-07-09 |
| Last Update Date | 2014-12-22 |