NPI | 1497292494 |
---|---|
Entity Type | Organization |
Authorized Contact | KATHRYN LARSON Licensed Professional Counselor Ass 701-430-2121 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 170684) |
Enumeration Date | 2017-01-27 |
Last Update Date | 2017-01-27 |