| NPI | 1801047808 |
|---|---|
| Doing Business As | NEW HORIZONS COUNSELING/BROKEN WINGS PGM |
| Entity Type | Organization |
| Authorized Contact | DARRYL WADE MCINTOSH Counselor/Therapist 270-338-2280 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder (Licence: KY KY-0191) |
| Enumeration Date | 2008-10-08 |
| Last Update Date | 2008-10-08 |