| NPI | 1659474518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PEGGY H. MULLINS Owner 270-881-1062 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY KY03) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: KY KY1182) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-10-30 |