| NPI | 1285272088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA R SMITH Owner 502-851-6384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 104100000X Social Worker |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2019-12-12 |
| Last Update Date | 2024-10-03 |