| NPI | 1548571870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELEA BOATMAN Office Manager 812-232-4349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 20042342A) |
| Enumeration Date | 2010-07-01 |
| Last Update Date | 2010-07-01 |