| NPI | 1154488443 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA FOSTER Director Owner 859-219-8953 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY KY-0498) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-07-11 |