| NPI | 1144766866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE KING Mental Health Therapist 502-385-4151 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 106H00000X Marriage & Family Therapist | |
| Enumeration Date | 2017-01-19 |
| Last Update Date | 2023-10-02 |