| NPI | 1104412907 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA D. FLETCHER Clinical Therapist/Director 502-819-6734 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2020-12-28 |