| NPI | 1538276480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RONALD M KING Physician 270-685-1331 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KY 18228) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2020-08-22 |