NPI | 1033853981 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE RANEY Owner 859-353-3666 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM0855X Clinic/Center, Adolescent and Children Mental Health |
Enumeration Date | 2022-04-26 |
Last Update Date | 2022-04-26 |