| NPI | 1871009373 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA ELIZABETH HUBLICK Owner 270-300-3229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: KY 3973) |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2020-03-03 |