| NPI | 1508012899 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM LEACH CFO 606-329-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2008-08-18 |
| Last Update Date | 2008-08-25 |