| NPI | 1194944967 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON ROUNTREE Office Manager 502-327-9233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP1600X Counselor, Pastoral |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2007-04-24 |
| Last Update Date | 2020-08-22 |