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