| NPI | 1427333970 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI A TUBBS-DOUGLAS Director 731-784-8814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2011-10-17 |
| Last Update Date | 2018-09-17 |