| NPI | 1346664091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALA CHRISTOPHER PECK CEO/President 859-497-0628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical (Licence: KY 3904) | |
| 1041C0700X Social Worker Clinical (Licence: KY 3514) | |
| 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: KY 500029) | |
| Enumeration Date | 2014-02-14 |
| Last Update Date | 2019-05-09 |