| NPI | 1740881507 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY LUCAS Owner 502-767-0415 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor Professional | |
| 1041C0700X Social Worker Clinical | |
| 221700000X Art Therapist | |
| 3245S0500X Substance Abuse Rehabilitation Facility Substance Abuse Treatment, Children | |
| Enumeration Date | 2020-11-06 |
| Last Update Date | 2025-06-27 |