| NPI | 1376867226 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILTON D JOHNSON Administrator 276-340-3729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 344600000X Taxi |
| Enumeration Date | 2010-03-22 |
| Last Update Date | 2010-03-22 |