| NPI | 1073941589 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH G. D'AMBROSIO Member 502-376-1666 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 104100000X Social Worker |
| Enumeration Date | 2013-10-18 |
| Last Update Date | 2013-10-18 |