| NPI | 1285994897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MEADE ADCOCK Sole Owner/Provider 606-219-0551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 251S00000X Community/Behavioral Health (Licence: KY 3540) |
| Enumeration Date | 2012-05-17 |
| Last Update Date | 2023-09-20 |