| NPI | 1023446077 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ASHLEY STRANGE Licensed Clinical Social Worker 502-349-9888 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3819) |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2013-10-29 |