| NPI | 1508007360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHLEEN C. DONAHUE Member 859-382-0132 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 0485) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY 3037) |
| Enumeration Date | 2009-03-08 |
| Last Update Date | 2015-11-24 |