NPI | 1639793888 |
---|---|
Entity Type | Organization |
Authorized Contact | TERRY L JANELLE CEO 270-313-2988 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2020-06-03 |
Last Update Date | 2020-06-03 |