| NPI | 1053137547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY FIELDS Executive Administrator 606-202-3424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| 175T00000X Peer Specialist | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2024-11-29 |
| Last Update Date | 2024-11-29 |