| NPI | 1003894189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN B. STOKES Owner President 502-899-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 251C00000X | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2006-01-09 |
| Last Update Date | 2008-06-09 |