| NPI | 1881350064 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CATHERINE L MCLEAN Licensed Clinical Social Worker 502-617-1511 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Enumeration Date | 2021-11-12 |
| Last Update Date | 2021-11-12 |