| NPI | 1710444187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRYSTLE M WORKING DRURY Owner 812-490-2100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2020-04-07 |