| NPI | 1821870213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT ACKER Owner 812-962-7894 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional | |
| 1041C0700X Social Worker, Clinical | |
| 207RA0401X Internal Medicine, Addiction Medicine | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2023-10-19 |
| Last Update Date | 2024-10-24 |