| NPI | 1700357050 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER DEAN WHITSELL Owner 859-339-0582 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 103TC1900X Psychologist Counseling |
| Enumeration Date | 2018-12-16 |
| Last Update Date | 2022-04-27 |