| NPI | 1659726628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET GROLL Business Manager 812-987-4330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084P0802X Psychiatry & Neurology, Addiction Psychiatry (Licence: KY 800212) |
| Enumeration Date | 2016-04-27 |
| Last Update Date | 2024-01-31 |