| NPI | 1235552498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S COLLIER Executive Director 606-657-0532 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101YP2500X Counselor, Professional | |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 251B00000X Case Management | |
| 251S00000X Community/Behavioral Health | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 364SP0808X Clinical Nurse Specialist, Psych/Mental Health | |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2025-02-18 |