NPI | 1750862702 |
---|---|
Entity Type | Organization |
Authorized Contact | GATT READ WARE Chief Executive Officer 270-495-1224 |
Organization Subpart ? | No |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 164501) |
Additional Taxonomies | 101Y00000X Counselor (Licence: KY 810638) |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY 118186) | |
101YM0800X Counselor, Mental Health (Licence: KY 104259) | |
Enumeration Date | 2018-08-28 |
Last Update Date | 2022-03-16 |