| NPI | 1720123870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE HENRY Operations Manager 270-444-7898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103K00000X Behavior Analyst |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 251300000X Local Education Agency (LEA) | |
| 261QM3000X Clinic/Center, Medically Fragile Infants and Children Day Care | |
| 324500000X Substance Abuse Rehabilitation Facility | |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2024-12-17 |