| NPI | 1609250992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA C BROCK Principal Therapist/Owner 502-785-4322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0850X Clinic/Center, Adult Mental Health (Licence: KY 0617) |
| Additional Taxonomies | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) (Licence: KY 3035) |
| Enumeration Date | 2015-07-16 |
| Last Update Date | 2023-08-21 |