| NPI | 1023888740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN HOFFMAN Organizer 502-377-5942 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2024-01-03 |