| NPI | 1669238903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX JONES Administration 606-383-0780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 1041C0700X Social Worker, Clinical | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-02-26 |
| Last Update Date | 2024-02-26 |