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 | |
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 |