| NPI | 1053878413 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER SMITH Owner 606-388-2898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 1041C0700X Social Worker, Clinical | |
| 251B00000X Case Management | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2025-03-06 |