| NPI | 1770900631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWNNA S MILLS President 502-333-0218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor Mental Health | |
| 101YP2500X Counselor Professional | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health | |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2021-04-01 |