| NPI | 1942667456 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANELLE WHITE CEO/Owner 606-422-9330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 251B00000X Case Management | |
| 175T00000X Peer Specialist | |
| 207Q00000X Family Medicine | |
| 101Y00000X Counselor | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| 101YP2500X Counselor, Professional | |
| 103TC0700X Psychologist, Clinical | |
| Enumeration Date | 2016-01-28 |
| Last Update Date | 2018-08-12 |