| NPI | 1356772404 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICIA MAE GREENE Executive Director 606-584-7055 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 1507) |
| Enumeration Date | 2013-11-27 |
| Last Update Date | 2015-04-14 |