| NPI | 1548306665 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONA JOY AIREY Owner 502-420-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY-638) |
| Additional Taxonomies | 174400000X Specialist (Licence: KY KY-1933) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |