| NPI | 1275674038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEWIS FRED SCHLOEMER Sole Proprietor 502-459-3802 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 0408) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 0307) |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2020-08-22 |