| NPI | 1275920555 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT GRUBBS Member / President 502-931-5624 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 4038) |
| Enumeration Date | 2015-04-23 |
| Last Update Date | 2015-04-23 |