| NPI | 1710493143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLI RAE PEPELEA CEO 812-235-8744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: IN 87001381A) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: IN 34006237A) |
| Enumeration Date | 2017-12-21 |
| Last Update Date | 2017-12-21 |