| NPI | 1275406324 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL CAMERON THOMAS Program Ethics & Compliance Officer 606-729-7119 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-09-25 |
| Last Update Date | 2025-09-25 |