| NPI | 1538465349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBIN MAGLINGER Owner 812-491-2615 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2011-01-27 |
| Last Update Date | 2019-05-02 |