| NPI | 1821166042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA GALE LUTHER Administrator Clinical Therapist 270-763-6644 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY KY0301) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: KY KY0057) |
| 101YM0800X Counselor, Mental Health (Licence: MI MI6401004980) | |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2020-08-22 |