| NPI | 1891470605 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAWANNA MARIE HOBBS CEO 502-775-9265 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2023-06-19 |
| Last Update Date | 2023-06-19 |