| NPI | 1770709230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK DELONG Executive Director 812-336-3570 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility (Licence: IN 1279-0 CA) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: IN 1279-0 ASR) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2011-09-26 |