| NPI | 1013956101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA L. VANHORN Owner 606-928-0150 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY ky-1072) |
| Enumeration Date | 2006-06-05 |
| Last Update Date | 2009-04-29 |