| NPI | 1669666046 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY PETER GORDON President 812-455-3203 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 34002553A) |
| Enumeration Date | 2007-08-29 |
| Last Update Date | 2007-08-29 |