| NPI | 1760268973 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA KONIJETI Owner 812-786-1445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2023-09-04 |
| Last Update Date | 2023-09-04 |