| NPI | 1730138975 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLEY A. GREEN President 812-275-7765 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: IN 57000122A) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: IN 57000122A) |
| 103TH0100X Psychologist Health Service (Licence: IN 57000122A) | |
| 104100000X Social Worker (Licence: IN 57000122A) | |
| 1041C0700X Social Worker Clinical (Licence: IN 57000122A) | |
| 106H00000X Marriage & Family Therapist (Licence: IN 95000122A) | |
| Enumeration Date | 2006-05-06 |
| Last Update Date | 2020-08-22 |