| NPI | 1861260788 |
|---|---|
| Doing Business As | PBH: HOPKINSVILLE |
| Entity Type | Organization |
| Authorized Contact | CYNTHIA RENEE CRASE Program Director 606-226-1530 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2023-12-20 |
| Last Update Date | 2023-12-20 |