| NPI | 1073902334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUKE HAYDEND HATFIELD Coowner/Therapist 270-259-0004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 1293) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 6371) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |