NPI | 1891353504 |
---|---|
Doing Business As | 897 MOUNT RUSHMORE DRIVE |
Entity Type | Organization |
Authorized Contact | STACY LYNN HARRIS Owner/Manager 606-776-4741 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical |
Enumeration Date | 2019-05-29 |
Last Update Date | 2022-02-15 |