| NPI | 1952151060 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RHONDA CLARK Co Owner 606-886-9989 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-10-31 |