| NPI | 1669899290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WESLEY WRATHER CEO 270-576-3303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 103TC1900X Psychologist, Counseling | |
| 225X00000X Occupational Therapist | |
| 225XP0200X Occupational Therapist, Pediatrics | |
| 235Z00000X Speech-Language Pathologist, | |
| 251S00000X | |
| 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) | |
| Enumeration Date | 2014-03-20 |
| Last Update Date | 2019-10-21 |