| NPI | 1629437298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE T KNEPP Mental Health Couselor 812-674-2000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 39002558A) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2016-02-11 |