| NPI | 1841344991 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GALEN GOODE CEO 812-231-8323 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: IN 405-0-CMHC) |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |