| NPI | 1265811756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CYNTHIA ANN FAULKNER President 606-356-7094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 3276) |
| Additional Taxonomies | 1041C0700X Social Worker Clinical (Licence: KY 7269) |
| 1041C0700X Social Worker Clinical (Licence: TX 20267) | |
| Enumeration Date | 2015-05-29 |
| Last Update Date | 2015-05-29 |