NPI | 1104198902 |
---|---|
Entity Type | Organization |
Authorized Contact | MELANIE ANN JARRELL Licensed Clinical Social Worker 502-609-0062 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY KY-3213) |
Enumeration Date | 2012-02-08 |
Last Update Date | 2012-02-08 |