| NPI | 1326649542 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIN R RIEDEL Owner 502-272-4950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2020-11-04 |
| Last Update Date | 2023-09-06 |