| Organization Name: | PARK VIEW PSYCHIATRIC SERVICES, PSC |
| NPI Number: | 1063415297 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVEN R. SHELTON (PRESIDENT) |
| Mailing Address: | 510 Spring St Jeffersonville |
| State: | IN US |
| Postal Code: | 471303554 |
| Phone Number: | 8122821888 |
| Fax Number: | 8122189318 |
| NPI Enumeration Date: | 05/23/2005 |
| NPI Last Update Date: | 10/14/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 50003891A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |