NPI | 1891237442 |
---|---|
Former Legal Business Name | AD ASTRA COUNSELING LLC |
Entity Type | Organization |
Authorized Contact | JENNIFER KENDRICK Therapist Owner 502-203-9197 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X |
Additional Taxonomies | 251S00000X (Licence: KY 104353) |
Enumeration Date | 2016-11-14 |
Last Update Date | 2024-02-22 |