| NPI | 1225395023 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAY ANTHONY HALL Owner 502-510-3630 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY ky-1412) |
| Enumeration Date | 2012-04-18 |
| Last Update Date | 2012-04-18 |