| NPI | 1306385539 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA REED JONES Owner/Chief Clinical Officer 270-282-2202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 172322) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |