| NPI | 1457000796 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGI ADAMS CEO Program Director 606-678-9183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 101YP2500X Counselor Professional | |
| Enumeration Date | 2022-03-23 |
| Last Update Date | 2022-03-23 |