| NPI | 1134006109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LASHONDA ROBERTSON Owner 502-612-5495 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 101YM0800X Counselor, Mental Health | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2025-08-20 |
| Last Update Date | 2025-08-20 |