| NPI | 1952883621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA TAYLOR Owner/Member 502-797-0936 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health (Licence: KY 1501) |
| Enumeration Date | 2018-08-30 |
| Last Update Date | 2018-08-30 |