| NPI | 1962578088 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN B STOKES Executive Director 502-899-7105 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |