| NPI | 1639476575 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN A HOFFMANN President 502-416-1968 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 810311) |
| Enumeration Date | 2011-02-11 |
| Last Update Date | 2011-02-11 |