| NPI | 1740789635 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONNA M CAPIO Tin Owner 812-331-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: IN 39002467A) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: IN 39002467A) |
| Enumeration Date | 2018-02-06 |
| Last Update Date | 2018-02-06 |