| NPI | 1578064945 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMMALY L MEIER Owner 270-238-3422 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KY 168203) |
| Enumeration Date | 2018-02-21 |
| Last Update Date | 2023-12-14 |