| NPI | 1003241035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILMA PEEPLES Director 859-278-4775 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 618) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 443) |
| Enumeration Date | 2013-09-10 |
| Last Update Date | 2013-09-10 |