| NPI | 1467974469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BARKLEY HANCOCK Owner 270-299-6389 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor Professional |
| Additional Taxonomies | 101Y00000X Counselor (Licence: KY 105838) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor Mental Health (Licence: KY 105838) | |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional (Licence: KY 105838) | |
| 101YS0200X Counselor School (Licence: KY 105838) | |
| 101YS0200X Counselor School | |
| Enumeration Date | 2017-07-11 |
| Last Update Date | 2019-12-31 |