NPI | 1841467222 |
---|---|
Entity Type | Organization |
Authorized Contact | SHERYL A ANDIS Provider/Owner 812-477-2350 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IN 34002024A) |
Enumeration Date | 2008-05-14 |
Last Update Date | 2008-05-14 |