| NPI | 1649640921 |
|---|---|
| Doing Business As | WILSON PLACE |
| Entity Type | Organization |
| Authorized Contact | KIM R WILSON President 270-904-1072 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2024-01-04 |