| NPI | 1669877700 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELINDA B SIMPSON Clinical Social Worker 502-320-4049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3225) |
| Enumeration Date | 2014-10-31 |
| Last Update Date | 2014-10-31 |