| NPI | 1386455087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORENE BARNES Operating Officer 502-403-7813 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 251B00000X Case Management |
| Enumeration Date | 2025-01-14 |
| Last Update Date | 2025-02-21 |