| NPI | 1457003006 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMMY WRIGHT Owner 502-694-2251 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2022-01-25 |
| Last Update Date | 2022-02-28 |