| NPI | 1750749248 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MCCOY Social Worker/Therapist 270-599-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health (Licence: KY 104100000x) |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-03-24 |