| NPI | 1669967287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP ANTONIO THOMPSON CEO 502-324-2199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center) |
| Enumeration Date | 2018-06-26 |
| Last Update Date | 2018-06-26 |