| NPI | 1588871743 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGEANNA GIBSON Owner 270-746-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101YP2500X Counselor Professional |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 251S00000X Community/Behavioral Health (Licence: KY 29100013) | |
| Enumeration Date | 2007-05-17 |
| Last Update Date | 2022-07-11 |