| NPI | 1063899789 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAN HATCHER Managing Employee 270-696-3181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 00211339) |
| Additional Taxonomies | 104100000X Social Worker (Licence: KY 6908) |
| Enumeration Date | 2015-05-01 |
| Last Update Date | 2023-11-30 |