| NPI | 1346738549 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BETHANY T KELLEY Sole Owner 740-304-6156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 252547) |
| Enumeration Date | 2018-04-24 |
| Last Update Date | 2023-09-13 |