| NPI | 1821542754 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CHADWICK LYON Chief Clinical Officer 270-231-7022 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320800000X Community Based Residential Treatment Facility, Mental Illness |
| Additional Taxonomies | 251G00000X Hospice Care, Community Based |
| 251S00000X (Licence: IN 34007463A) | |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2023-02-09 |