| NPI | 1780277293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL RAY CANTRELL Executive Director 270-846-6335 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Enumeration Date | 2021-02-16 |
| Last Update Date | 2021-02-16 |