| NPI | 1396244489 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATT REBECK Owner 812-236-1911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health (Licence: IN 20041439A) |
| Enumeration Date | 2018-02-05 |
| Last Update Date | 2018-02-05 |