| NPI | 1174976245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARESE TAYLOR Behavior And Mental Health 502-224-2082 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 105195) |
| Enumeration Date | 2016-07-13 |
| Last Update Date | 2016-07-13 |