| NPI | 1174064497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KRISTINA ELIZABETH HAYDEN Co President 502-783-6030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 127944) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |