| NPI | 1730467036 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA AMALIA COFFELT Owner/Manager 270-761-5804 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY 1114) |
| Enumeration Date | 2011-08-03 |
| Last Update Date | 2025-01-14 |