| NPI | 1104272418 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM T BODDIE Owner/Clinical Social Worker 502-385-2748 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2016-08-03 |