| NPI | 1568770402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PRICE Director 606-638-0222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: FL 12606) |
| Enumeration Date | 2010-09-14 |
| Last Update Date | 2010-09-14 |