| NPI | 1023604725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAWANDA E MCCANTS Owner 859-629-9865 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2021-02-12 |