| NPI | 1962568477 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM LEACH CFO 606-329-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |