| NPI | 1205052784 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PEMBERTON President 502-327-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 0549) |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-08-22 |