| NPI | 1922035211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAYLE DENHAM Owner 606-669-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KY 2829p) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-08-22 |