| NPI | 1538921234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ANN RENTERIA-EVANS Professional Counselor 812-841-1767 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2024-01-29 |
| Last Update Date | 2024-01-29 |