| NPI | 1710904461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES PEMBERTON President 502-327-8045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY KY-0549) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |