| NPI | 1043039704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIC JOCKERS Owner 502-352-4904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-10-09 |
| Last Update Date | 2024-10-09 |