| NPI | 1629566500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN THOMAS WEST Owner/Executive Director 270-799-1658 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2018-04-26 |
| Last Update Date | 2018-04-26 |