| NPI | 1750921870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH MOORE Pmhnp Bc, Fnp C 812-369-4344 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health |
| Enumeration Date | 2020-01-07 |
| Last Update Date | 2022-11-16 |