| NPI | 1336578426 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY SHEA MITCHELL Counselor 606-875-2125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 1671) |
| Enumeration Date | 2013-11-08 |
| Last Update Date | 2014-12-16 |