| NPI | 1992781470 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZANNE L KOESEL CEO 812-337-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 324500000X Substance Abuse Rehabilitation Facility (Licence: IN 431-049) | |
| Enumeration Date | 2005-12-16 |
| Last Update Date | 2018-12-17 |