| NPI | 1518298017 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRY VERNIER Owner 606-393-5926 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| Enumeration Date | 2010-01-22 |
| Last Update Date | 2023-05-02 |