| NPI | 1376990259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDSEY REED SHECKLES Independent Contractor/Therapist 502-510-2213 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Enumeration Date | 2016-05-19 |
| Last Update Date | 2016-05-19 |