| NPI | 1013315837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY GAIL WENZ-SHERRILL Owner 270-748-5638 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 0900372) |
| Enumeration Date | 2014-12-10 |
| Last Update Date | 2014-12-11 |