| NPI | 1649563032 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM ALEXANDER MARRETT Manager 502-376-0129 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY 0709) |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2011-05-18 |