| NPI | 1851497143 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN COWAN WARNER Owner 502-637-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 1848) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IN 34004385A) |
| Enumeration Date | 2006-09-15 |
| Last Update Date | 2020-08-22 |