| NPI | 1104742451 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA CARPENTER Sr. Director, Revenue Cycle Mgt. 276-617-0957 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| Enumeration Date | 2026-06-29 |
| Last Update Date | 2026-06-29 |