| NPI | 1417608738 |
|---|---|
| Doing Business As | PRIMARY PURPOSE BEHAVIORAL HEALTH |
| Entity Type | Organization |
| Authorized Contact | DAVID WATERS Partner 502-370-1803 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2022-01-18 |
| Last Update Date | 2023-11-15 |