| NPI | 1487957130 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES SHAWN OAK President/CEO 502-792-0667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 104010) |
| Additional Taxonomies | 104100000X Social Worker (Licence: IN 33006299A) |
| 106H00000X Marriage & Family Therapist (Licence: KY 0750) | |
| 171M00000X Case Manager/Care Coordinator | |
| 106H00000X Marriage & Family Therapist (Licence: IN 35001769A) | |
| 106H00000X Marriage & Family Therapist | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 363L00000X Nurse Practitioner | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2010-12-17 |
| Last Update Date | 2019-06-29 |