| NPI | 1316664014 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CECIL J WARD President / Senior Counselor 270-994-7775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |