| NPI | 1235660853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN PHELPS CEO 606-637-3538 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KY KY-0085) |
| Additional Taxonomies | 101YP1600X Counselor, Pastoral |
| 101YP2500X Counselor, Professional | |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |