| NPI | 1689521494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE EARLS Director/Case Manager 270-872-7511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Additional Taxonomies | 174200000X Meals |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2026-03-11 |
| Last Update Date | 2026-03-11 |