| NPI | 1538340690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LYNN THIENEMAN Owner 502-644-5433 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 0885) |
| Enumeration Date | 2007-11-16 |
| Last Update Date | 2007-11-16 |