| NPI | 1568926715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERESEA LYNN HIGHAM Owner 812-584-6133 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-01-22 |
| Last Update Date | 2020-12-08 |