| NPI | 1821335563 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY BALLE Pmhcns Bc, RN 812-671-0057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 28160285A) |
| Enumeration Date | 2013-01-15 |
| Last Update Date | 2013-01-15 |