| NPI | 1114187234 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANICE CLARK Executive Director 606-679-9009 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| 251S00000X Community/Behavioral Health | |
| 261QH0700X Clinic/Center, Hearing and Speech | |
| 261QP2300X Clinic/Center, Primary Care | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2008-06-12 |
| Last Update Date | 2021-12-17 |