| NPI | 1932521044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY YOKLEY Office Administrator 270-599-4458 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: KY 3838) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2022-09-06 |