| NPI | 1518116722 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROGER DEAN COLEMAN Owner/Sole Provider 606-432-5177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 1854) |
| Enumeration Date | 2008-09-11 |
| Last Update Date | 2013-09-17 |