| NPI | 1396150033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL M HAMMERBECK Owner/Member 812-288-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 01059001a) |
| Enumeration Date | 2014-06-20 |
| Last Update Date | 2014-06-20 |