| NPI | 1932331345 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | JENNIFER MICHAEL SPENCER Psychologist/Owner 812-333-8474  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: IN 20041405)  | 
| Enumeration Date | 2009-08-18 | 
| Last Update Date | 2023-10-13 |