| NPI | 1417312851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA SPILMAN WILLIAMSON Office Manager 270-360-1222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 5047) |
| Enumeration Date | 2015-12-30 |
| Last Update Date | 2015-12-30 |