| NPI | 1336404912 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD CARTER Co Founder 606-420-4070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: RI-C1112181215) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY 0864) |
| 261QX0100X Clinic/Center, Occupational Medicine (Licence: KY 29912) | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2012-07-10 |
| Last Update Date | 2013-01-30 |