| NPI | 1073090874 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA MARSHALL-KING Owner 502-592-2009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2018-07-24 |
| Last Update Date | 2022-02-26 |