NPI | 1649537002 |
---|---|
Entity Type | Organization |
Authorized Contact | J. MICHAEL MOUNTAIN CFO 270-689-6649 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2012-04-23 |
Last Update Date | 2012-04-23 |