| NPI | 1538408851 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUMMER WRENN WATSON Mental Health Therapist 270-629-5090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY 0830) |
| Enumeration Date | 2013-02-06 |
| Last Update Date | 2013-02-06 |