| NPI | 1881872091 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN B. STOKES Executive Director 502-899-3205 |
| Organization Subpart ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251S00000X | |
| Enumeration Date | 2008-02-11 |
| Last Update Date | 2008-06-06 |