| NPI | 1316332067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE EDWARD BURNETTE Owner 606-666-8404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2015-03-31 |
| Last Update Date | 2015-03-31 |