| NPI | 1962931972 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WATERS CEO 502-370-7229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2023-11-15 |