| NPI | 1770339848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD EDWARD WALKER Executive Director 276-403-4719 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2024-04-29 |
| Last Update Date | 2024-04-29 |