| NPI | 1407263601 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINIQUE LASHAN WILSON CEO 859-368-3160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY KY-1444) |
| Enumeration Date | 2014-07-20 |
| Last Update Date | 2015-09-03 |