| NPI | 1639880933 |
|---|---|
| Doing Business As | TELL CITY CLINIC BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | CRYSTAL LEE HINTON Provider Enrollment Specialist 812-772-0589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2022-12-07 |