| NPI | 1669720496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTORIA J MEACHAM Co Owner 270-240-1076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1609) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2025-09-15 |