| NPI | 1386288546 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN BRANDT BADGER Mental Health Therapist 812-345-9919 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-10-31 |
| Last Update Date | 2019-10-31 |