| NPI | 1871980052 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHAUNDA BARBEE Executive Director 731-501-9663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-04-24 |
| Last Update Date | 2015-05-27 |