| NPI | 1528017142 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARCIA ADAMS CFO 606-666-4351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TC0700X Psychologist, Clinical | |
| 103TS0200X Psychologist, School | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YP2500X Counselor, Professional | |
| 101YS0200X Counselor, School | |
| 1041C0700X Social Worker, Clinical | |
| 174400000X Specialist | |
| 225X00000X Occupational Therapist | |
| 261QP2300X Clinic/Center, Primary Care | |
| 320800000X Community Based Residential Treatment Facility, Mental Illness | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health | |
| Enumeration Date | 2006-05-09 |
| Last Update Date | 2023-09-19 |