| NPI | 1790224061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN HEFFNER RHEMA Member 502-550-0576 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 1924) |
| Enumeration Date | 2017-02-19 |
| Last Update Date | 2017-02-19 |