| NPI | 1033142781 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC HICKS CFO 270-689-6540 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 253J00000X Foster Care Agency |
| 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2006-07-08 |
| Last Update Date | 2024-04-03 |