NPI | 1316821150 |
---|---|
Doing Business As | BLACK COTTON THERAPY SERVICES OF KENTUCKY LLC |
Entity Type | Organization |
Authorized Contact | TANISHA COLEMAN Owner 404-987-8369 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
261QM0850X Clinic/Center, Adult Mental Health | |
261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
Enumeration Date | 2025-08-04 |
Last Update Date | 2025-08-04 |