| NPI | 1255855920 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIZABETH HILL V Ice President 270-827-8761 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 810183) |
| Enumeration Date | 2017-08-03 |
| Last Update Date | 2022-07-21 |