| NPI | 1982006706 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODY J POLLARD Owner/Provider 270-384-1198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: KY 0453) |
| Enumeration Date | 2014-09-24 |
| Last Update Date | 2014-09-24 |