Organization
YOUTH CARE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT LEE WILSON EDD (CLINICAL DIRECTOR)
(812) 421-3806
Entity
Organization
Contact information
Practice address
727 CHESTNUT ST, EVANSVILLE, IN 47713-1823
(812) 421-3806
(812) 421-3804
Mailing address
727 CHESTNUT ST, EVANSVILLE, IN 47713-1823
(812) 421-3806
(812) 421-3804
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
4206533124
IN
Other
Enumeration date
08/08/2008
Last updated
08/08/2008
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