| NPI | 1811339914 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL AGYEI BOAMAH Executive Director 270-320-1101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: KY 0832605) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 0832605) |
| 101Y00000X Counselor | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 102L00000X Psychoanalyst (Licence: KY 0832605) | |
| 103K00000X Behavior Analyst (Licence: KY 0832605) | |
| 103T00000X Psychologist (Licence: KY 0832605) | |
| 104100000X Social Worker (Licence: KY 0832605) | |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 106H00000X Marriage & Family Therapist (Licence: KY 0832605) | |
| 171M00000X Case Manager/Care Coordinator | |
| 251B00000X Case Management (Licence: KY 0832605) | |
| 261QD1600X Clinic/Center, Developmental Disabilities | |
| Enumeration Date | 2013-07-18 |
| Last Update Date | 2019-10-28 |