| NPI | 1346030863 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON CALES CEO 270-465-1411 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 2084P0802X Psychiatry & Neurology, Addiction Psychiatry | |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-22 |