| NPI | 1689416158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN A GILLEY Executive Director 606-821-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X | |
| 261QR0800X Clinic/Center, Recovery Care | |
| Enumeration Date | 2024-06-06 |
| Last Update Date | 2024-06-06 |