| NPI | 1508292582 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA SALEE WEST Director Of License And Regulation 812-598-8989 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: IN 01043877A) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: IN 71003322A) |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2013-09-23 |