| NPI | 1902670946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LEE CRUTCHFIELD Director 812-630-4857 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2023-11-13 |