| NPI | 1558679480 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA SUE FARLEY Office Manager/Educator 270-237-3463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 0531) |
| Additional Taxonomies | 251S00000X (Licence: KY 810288) |
| 163WC0400X Registered Nurse, Case Management (Licence: KY 1107277) | |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: KY 1107277) | |
| 163W00000X Registered Nurse (Licence: KY 1107277) | |
| 163WC1600X Registered Nurse, Continuing Education/Staff Development (Licence: KY 1107277) | |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-23 |