| NPI | 1235492711 |
|---|---|
| Doing Business As | GREEN LINE WELLNESS |
| Entity Type | Organization |
| Authorized Contact | LAURA LINEBARGER Co Owner 502-509-7357 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: KY 1658) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2012-07-04 |