| NPI | 1376746818 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIC SPANO CEO 812-258-1016 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2007-06-11 |
| Last Update Date | 2008-11-26 |