| NPI | 1558841023 |
|---|---|
| Doing Business As | N/A |
| Entity Type | Organization |
| Authorized Contact | KENDRA M PATTON Lpcc Owner 606-875-2924 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2018-08-15 |