| NPI | 1588484323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY NEAR COO 812-298-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2025-12-09 |