NPI | 1477603538 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL HENDERSON President/CEO 812-951-1878 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 103TC0700X Psychologist, Clinical |
320800000X Community Based Residential Treatment Facility, Mental Illness | |
Enumeration Date | 2007-01-11 |
Last Update Date | 2023-02-27 |