NPI | 1215727656 |
---|---|
Entity Type | Organization |
Authorized Contact | ERICA TONEY Owner/ Clinician 502-550-7102 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Enumeration Date | 2025-05-08 |
Last Update Date | 2025-07-18 |