| NPI | 1710358528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA ELLIOTT Owner 859-327-8455 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY LPCPCC00218326) |
| Enumeration Date | 2015-10-19 |
| Last Update Date | 2015-10-19 |