| NPI | 1649834565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA HAGAN Therapist 812-431-2710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2019-05-23 |