| NPI | 1568889509 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMANDA OWEN Executive Director 270-926-7813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 225100000X Physical Therapist |
| 251C00000X Day Training, Developmentally Disabled Services | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2025-11-04 |