| NPI | 1922431410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REBEKAH L BURKE Therapist 573-721-1936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 2013-023) |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2013-08-20 |