| NPI | 1942852488 |
|---|---|
| Other Name | KAITLIN KING |
| Entity Type | Organization |
| Authorized Contact | KIANA-MARIE VAUGHN Credentialing Coordinator 812-345-3055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2019-07-15 |
| Last Update Date | 2019-07-15 |