| NPI | 1326162421 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELLEY R. CORUM Office Manager 270-926-6900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY KY-0026) |
| Enumeration Date | 2007-03-16 |
| Last Update Date | 2008-08-28 |