| NPI | 1689289233 |
|---|---|
| Doing Business As | DEACONESS CROSS POINTE - MOB 3 |
| Entity Type | Organization |
| Authorized Contact | CHERYL ANNETTE WATHEN CFO 812-450-3296 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2020-09-10 |
| Last Update Date | 2020-09-10 |