| NPI | 1558877001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARGARET C. KAELIN Member/Owner 502-468-7626 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: 64695) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |