NPI | 1124733415 |
---|---|
Entity Type | Organization |
Authorized Contact | EVA ARCHIE Clinical Supervisor 502-409-4357 |
Organization Subpart ? | Yes |
Primary Taxonomy | 106H00000X Marriage & Family Therapist |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
101YP2500X Counselor, Professional | |
172V00000X Community Health Worker | |
174H00000X Health Educator | |
175T00000X Peer Specialist | |
Enumeration Date | 2023-01-20 |
Last Update Date | 2023-08-21 |