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 |