| NPI | 1518136019 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SABRINA LYNNE WEST Owner 270-298-0088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: KY KY-1061) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2019-05-08 |