| NPI | 1578246229 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE HATFIELD CEO 270-589-9498 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 103K00000X Behavior Analyst | |
| 1041C0700X Social Worker Clinical | |
| 202D00000X | |
| 207Q00000X Family Medicine | |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| 208000000X Pediatrics | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2023-08-09 |
| Last Update Date | 2023-08-09 |