| NPI | 1528103744 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE PROUTY Director 270-763-0728 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0181) |
| Enumeration Date | 2007-02-21 |
| Last Update Date | 2020-08-22 |