| NPI | 1972788784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBBINS DAVIS CEO 270-202-2598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: IN 01024043A) |
| Additional Taxonomies | 273R00000X Psychiatric Unit (Licence: KY 33498) |
| Enumeration Date | 2007-12-31 |
| Last Update Date | 2010-11-05 |