| NPI | 1588484323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY NEAR COO 812-298-8888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 323P00000X Psychiatric Residential Treatment Facility |
| Additional Taxonomies | 2084A0401X Psychiatry & Neurology, Addiction Medicine |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| Enumeration Date | 2024-10-16 |
| Last Update Date | 2024-10-16 |