| NPI | 1992435556 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA SUTTON Licensed Clinical Social Worker 812-430-8061 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-06-15 |
| Last Update Date | 2022-06-15 |