| NPI | 1508140898 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISA R COX Clinical Supervisor 812-722-3137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 253J00000X Foster Care Agency (Licence: IN 152783933) |
| Additional Taxonomies | 101Y00000X Counselor |
| 104100000X Social Worker | |
| 106H00000X Marriage & Family Therapist | |
| 253J00000X Foster Care Agency (Licence: IN 54490098) | |
| Enumeration Date | 2011-10-05 |
| Last Update Date | 2019-04-10 |