| NPI | 1851105878 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA MARIE RUSSELL Co Owner 502-408-4969 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 104100000X Social Worker |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2025-02-03 |
| Last Update Date | 2025-02-03 |