| NPI | 1841778198 |
|---|---|
| Former Legal Business Name | A CENTER 4 CHANGE |
| Entity Type | Organization |
| Authorized Contact | STEPHANIE PHELPS Chief Operating Officer 606-393-5586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103TC1900X Psychologist Counseling (Licence: KY 8002222) |
| Enumeration Date | 2018-07-30 |
| Last Update Date | 2018-07-30 |