| NPI | 1881277242 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOE VAP General Manager 502-244-2420 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2021-05-04 |
| Last Update Date | 2021-05-04 |