| NPI | 1235316852 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON OGDEN CFO 270-442-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) (Licence: KY 810061) |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2023-04-06 |