| NPI | 1720946247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANE SHERIFF Clinical Director 270-683-8267 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2026-01-13 |
| Last Update Date | 2026-07-13 |