| NPI | 1295937712 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE DAN BEAVERS CEO 270-901-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 261QA0600X Clinic/Center, Adult Day Care |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2021-07-20 |