| NPI | 1740316058 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES C MESSER Administrator 270-826-8761 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 251S00000X | |
| 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult | |
| Enumeration Date | 2007-02-23 |
| Last Update Date | 2018-08-31 |