| NPI | 1154569614 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUCILLE LEE MCMICHAEL Owner 270-746-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 3277) |
| Enumeration Date | 2009-01-21 |
| Last Update Date | 2009-01-21 |