| NPI | 1295018331 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VAUNETTE L. BAKER Owner 606-677-0053 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling (Licence: KY 0068) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 0864) |
| 1041C0700X Social Worker, Clinical (Licence: KY 2057) | |
| 1041C0700X Social Worker, Clinical (Licence: KY 350) | |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2015-04-08 |