| NPI | 1922881622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCHANEAKA ROBERTS Director Of Operations 270-506-0909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 324500000X Substance Abuse Rehabilitation Facility |
| Enumeration Date | 2023-08-16 |
| Last Update Date | 2023-08-21 |