| NPI | 1881789634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL DAVID DALTON President 859-338-0466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health (Licence: KY KY 302) |
| Additional Taxonomies | 101YP2500X Counselor Professional (Licence: KY KY 302) |
| 1041C0700X Social Worker Clinical (Licence: KY KY 1332) | |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-04-25 |