| NPI | 1598793671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PANKOTAI CEO 502-589-8600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center Mental Health (Including Community Mental Health Center) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 103T00000X Psychologist | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker Clinical | |
| 106H00000X Marriage & Family Therapist | |
| 172V00000X Community Health Worker | |
| 2084P0800X Psychiatry & Neurology Psychiatry | |
| 261QC1500X Clinic/Center Community Health | |
| 363L00000X Nurse Practitioner | |
| 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2026-02-05 |