NPI | 1740659978 |
---|---|
Entity Type | Organization |
Authorized Contact | KASEY R COMPTON Private Practice Clinician/Director 606-401-2966 |
Organization Subpart ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: KY KY1666) |
Enumeration Date | 2015-09-17 |
Last Update Date | 2015-11-13 |