| NPI | 1467752071 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARTHA ANN BRANDT Licensed Clinical Social Worker 812-449-4006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN IN34002417A) |
| Enumeration Date | 2010-10-28 |
| Last Update Date | 2010-10-28 |