| NPI | 1417775883 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HARRIS Owner 502-822-0811 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2024-10-02 |
| Last Update Date | 2024-10-29 |