| NPI | 1316154008 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE W BURKS President CEO 502-636-0771 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: KY 810038) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 810038) |
| 101YM0800X Counselor, Mental Health (Licence: KY 810038) | |
| Enumeration Date | 2007-05-16 |
| Last Update Date | 2020-08-22 |