| NPI | 1609677871 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ERIC SWETNAM Director 502-574-5148 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 172V00000X Community Health Worker | |
| 251B00000X Case Management | |
| Enumeration Date | 2025-03-22 |
| Last Update Date | 2025-03-22 |