NPI | 1689043788 |
---|---|
Entity Type | Organization |
Authorized Contact | DONALD MARVIN VOWELS President 502-585-2979 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1512) |
Enumeration Date | 2015-09-18 |
Last Update Date | 2015-09-18 |