NPI | 1740874007 |
---|---|
Entity Type | Organization |
Authorized Contact | LORI ANN ELLEGOOD President 812-447-2464 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 106H00000X Marriage & Family Therapist |
Enumeration Date | 2021-02-25 |
Last Update Date | 2021-02-25 |