| NPI | 1417968595 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BECKY NYBERG CFO 812-331-8000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility (Licence: IN 278652298) |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2011-01-31 |