| NPI | 1538603550 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHANIN MICHELLE BROWN Owner 270-769-3714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 103821) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: KY 106483) |
| 101YM0800X Counselor, Mental Health (Licence: KY 102108) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: KY 1031647) | |
| Enumeration Date | 2016-12-09 |
| Last Update Date | 2016-12-09 |