| NPI | 1396567723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JARUTHA BARNETT CEO 270-401-6611 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 251S00000X |
| Enumeration Date | 2024-10-28 |
| Last Update Date | 2024-10-28 |