| NPI | 1013197078 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE EDWARD HEY Lcsw 270-351-4880 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 1041C0700X) |
| Enumeration Date | 2007-11-07 |
| Last Update Date | 2007-11-09 |