| NPI | 1881804466 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER WOOD Center Director 502-253-8425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 106H00000X Marriage & Family Therapist (Licence: KY KY-06-035) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KY KY-0620) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2009-11-23 |