| NPI | 1144562323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA MAY Owner/Lpca 606-432-1287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional (Licence: KY KY-0222) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 3441) |
| Enumeration Date | 2013-03-26 |
| Last Update Date | 2013-03-26 |