| NPI | 1487872636 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN R. SHELTON President 812-282-1888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 50003891A) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2015-10-14 |