| NPI | 1629753835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TUYHIEP MONICA LAWRENCE Director Of Operations 502-618-0397 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Enumeration Date | 2023-06-16 |
| Last Update Date | 2023-06-16 |