| NPI | 1104805365 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG BREWER CONGLETON Owner 859-254-8185 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 0725) |
| Enumeration Date | 2006-01-15 |
| Last Update Date | 2020-08-22 |