| NPI | 1225560667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER ALLEN GRIFFITH Counseling Program Manager 606-887-3125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2017-04-03 |