| NPI | 1447607130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA EVERS Owner 812-202-1002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34001471A) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: IN 87000670A) |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2016-05-23 |