| NPI | 1407879349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETH A SHEPHERD Chief Financial Officer 270-852-1425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 225100000X Physical Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 235Z00000X Speech-Language Pathologist | |
| 261QM0850X Clinic/Center Adult Mental Health | |
| 261QR0401X Clinic/Center Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) | |
| 315P00000X Intermediate Care Facility, Mentally Retarded | |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2023-01-04 |